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TerminatedNCT03769181Updated Sep 23, 2025Results posted

A Study of Isatuximab-based Therapy in Participants With Lymphoma

A Phase 1/2 interventional study of isatuximab SAR650984 and cemiplimab REGN2810 in Lymphoma, sponsored by Sanofi. Terminated at 20 sites in 7 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2025-09-23.

Sponsored by Sanofi · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Study was stopped after interim analysis for all 4 cohorts with results either not fulfilling the pre-planned interim analysis criteria or fulfilling the criteria but as per sponsor decision. It was not due to any safety concern
Phase
Phase 1/2
Study type
Interventional
Enrollment
58
Allocation
Non-randomized
Ages
12 Years and older
Sex
All
01

Study summary

Primary Objectives:

Phase 1

-To characterize the safety and tolerability of isatuximab in combination with cemiplimab in participants with relapsed and refractory classic Hodgkin's lymphoma (cHL), diffuse large B-cell lymphoma (DLBCL) or peripheral T-cell lymphoma (PTCL), and to confirm the recommended Phase 2 dose (RP2D).

Phase 2

  • Cohort A1 (anti-programmed cell death protein 1/ligand 1 [PD-1/PD-L1] naïve cHL): To assess the complete remission (CR) rate of isatuximab in combination with cemiplimab.
  • Cohort A2 (cHL progressing from PD-1/PD-L1), B (DLBCL) and C (PTCL): To assess the objective response rate (ORR) of isatuximab in combination with cemiplimab.

Secondary Objectives:

  • To evaluate the safety of the RP2D of the combination of isatuximab with cemiplimab.
  • To evaluate the safety of the combination of isatuximab with cemiplimab and radiotherapy in participants with cHL.
  • To evaluate the immunogenicity of isatuximab and cemiplimab when given in combination.
  • To characterize the pharmacokinetic (PK) profile of isatuximab and cemiplimab when given in combination.
  • To assess overall efficacy of isatuximab in combination with cemiplimab and isatuximab in combination with cemiplimab and radiotherapy.
Read the detailed description

The total study duration per participant was up to 28 months, including an up to 28-day screening period, an up to 96-week treatment period, and a 90-day safety follow up period.

02

Conditions studied

  • Lymphoma

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Keywords

  • Anti-CD38 monoclonal antibody
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 58 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Sanofi is the lead sponsor of 1,508 studies on the registry; 90 are open to participants now.

Of its 198 completed or terminated interventional studies of FDA-regulated products, 118 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants greater than or equal to (>=) 12 years of age inclusive, at the time of signing the informed consent.
  • Disease location amenable to tumor biopsy at Baseline.
  • Measurable disease.
  • For Cohort A1 (cHL anti-programmed cell death protein 1/ligand 1 [PD-1/PD-L1] inhibitor naïve): Histologically confirmed advanced cHL that had relapsed or progressed after at least 3 lines of systemic therapy that included autologous hematopoietic stem cell transplant (auto-HSCT) or auto-HSCT and brentuximab vedotin (BV).
  • For Cohort A2 (cHL anti-PD-1/PD-L1 inhibitor progressor): Histologically confirmed advanced cHL which had relapsed or progressed after one previous anti-PD-1/PD-L1 containing regimen as the most recent prior therapy but no more than 4 lines of previous chemotherapy including the anti-PD-1/PD-L1 containing regimen and documentation of benefit during or after the anti-PD-1/PD-L1 containing regimen within 4 months prior to initiation of investigational medicinal product.
  • For Cohort B (diffuse large B-cell lymphoma [DLBCL]): Histologically confirmed advanced DLBCL that had relapsed or progressed after 2 lines of systemic therapy including auto-HSCT or 2 lines of systemic therapy for participants who were not eligible for auto-HSCT.
  • For Cohort C (peripheral T-cell lymphoma [PTCL]): Histologically confirmed advanced PTCL that had relapsed or progressed after either first-line chemotherapy and auto-HSCT as consolidation of first remission or first-line chemotherapy if participants were ineligible for auto-HSCT.
  • Body weight of greater than (>) 45 kilograms for participants with age less than (\<)18 years.

Exclusion criteria

Exclusion criteria:

  • Prior exposure to agent that blocks CD38.
  • For participants with cHL (PD-1/PD-L1 naïve), DLBCL or PTCL prior exposure to any agent (approved or investigational) that blocks the PD-1/PD-L1, PD-L2, CD137, cytotic T-lymphocyte-associated protein 4 or LAG-3.
  • Evidence of other immune related disease/conditions.
  • Had received a live-virus vaccination within 28 days of planned treatment start; seasonal flu vaccines that do not contain live virus are permitted.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) >=2.
  • Poor bone marrow reserve.
  • Poor organ function.

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Cohort A1: cHL: Isatuximab + Cemiplimab

    Classic Hodgkin's lymphoma (cHL), anti-programmed cell death protein 1/ligand 1 (PD-1/PD-L1) inhibitor naïve participants received isatuximab 10 milligrams per kilogram (mg/kg), intravenous (IV) infusion once a week (QW) in Cycle 1 and then every 2 weeks (Q2W) from Cycle 2 to Cycle 6 (each cycle of 28 days), and then every 3 weeks (Q3W) from Cycle 7 to Cycle 30 (each cycle of 21 days) along with cemiplimab 250 milligrams (mg) Q2W, IV infusion from Cycle 1 to 6 and then 350 mg Q3W from Cycle 7 to Cycle 30, with optional radiotherapy until, unacceptable adverse events (AEs) or participant's decision to stop the treatment, or at least 96 weeks (at least 48 weeks from initial signal of complete response \[CR\], whichever was longer) of delivery of investigational medicinal product(s) without documented progressive disease (PD), or study cut-off date, whichever occurs first (maximum duration: up to 103 weeks).

    Drug: isatuximab SAR650984 · Drug: cemiplimab REGN2810

  • Experimental
    Cohort A2: cHL: Isatuximab + Cemiplimab

    cHL, anti-PD-1/PD-L1 inhibitor progressor participants received isatuximab 10 mg/kg, IV infusion, QW in Cycle 1 and then Q2W from Cycle 2 to Cycle 6 (each cycle of 28 days) and Q3W from Cycle 7 to Cycle 30 (each cycle of 21 days) along with cemiplimab 250 mg Q2W, IV infusion from Cycle 1 to 6 and then 350 mg Q3W from Cycle 7 to Cycle 30, with optional radiotherapy until, unacceptable AEs or participant's decision to stop the treatment, or at least 96 weeks (at least 48 weeks from initial signal of CR, whichever was longer) of delivery of investigational medicinal product(s) without documented PD, or study cut-off date, whichever occurs first (maximum duration: up to 103 weeks).

    Drug: isatuximab SAR650984 · Drug: cemiplimab REGN2810

  • Experimental
    Cohort B: DLBCL: Isatuximab + Cemiplimab

    Diffuse large B-cell lymphoma (DLBCL), anti PD-1/PD-L1 naïve participants received isatuximab 10 mg/kg, IV infusion, QW in Cycle 1 and then Q2W from Cycle 2 to Cycle 6 (each cycle of 28 days) and Q3W from Cycle 7 to Cycle 30 (each cycle of 21 days) along with cemiplimab 250 mg Q2W, IV infusion from Cycle 1 to 6 and then 350 mg Q3W from Cycle 7 to Cycle 30 until, unacceptable AEs or participant's decision to stop the treatment, or at least 96 weeks (at least 48 weeks from initial signal of CR, whichever was longer) of delivery of investigational medicinal product(s) without documented PD, or study cut-off date, whichever occurs first (maximum duration: up to 103 weeks).

    Drug: isatuximab SAR650984 · Drug: cemiplimab REGN2810

  • Experimental
    Cohort C: PTCL: Isatuximab + Cemiplimab

    Peripheral T-cell lymphoma (PTCL), anti PD-1/PD-L1 naïve participants received isatuximab 10 mg/kg, IV infusion, QW in Cycle 1 and then Q2W from Cycle 2 to Cycle 6 (each cycle of 28 days) and Q3W from Cycle 7 to Cycle 30 (each cycle of 21 days) along with cemiplimab 250 mg Q2W, IV infusion from Cycle 1 to 6 and then 350 mg Q3W from Cycle 7 to Cycle 30 until, unacceptable AEs or participant's decision to stop the treatment, or at least 96 weeks (at least 48 weeks from initial signal of CR, whichever was longer) of delivery of investigational medicinal product(s) without documented PD, or study cut-off date, whichever occurs first (maximum duration: up to 103 weeks).

    Drug: isatuximab SAR650984 · Drug: cemiplimab REGN2810

Interventions

  • Drugisatuximab SAR650984

    Pharmaceutical form: solution for infusion Route of administration: intravenous

    Also known as: Sarclisa

  • Drugcemiplimab REGN2810

    Pharmaceutical form: solution for infusion Route of administration: intravenous

06

What researchers measure

Primary outcomes

  1. Number of Participants With Dose Limiting Toxicities (DLTs)

    DLTs: Adverse Events (AEs) occurring during 1st treatment cycle, unless due to disease progression or obviously unrelated cause which included: hematological abnormalities: Grade(G) 4 neutropenia(N) for 7 or more consecutive days, G3 to G4 N with fever (temperature greater than or equal to \[\>=\] 38.5 degree Celsius on more than 1 occasion) or microbiologically/radiographically documented infection, G3 to G4 thrombocytopenia with clinically significant bleeding requiring clinical intervention or non-hematological abnormalities: G 4 non-hematologic AE, G\>=2 uveitis, G3 non-hematological AE lasting greater than (\>)3 days, delay in initiation of Cycle 2 \>14 days due to treatment related laboratory abnormalities/AE. Any other AE that the study committee deemed to be dose-limiting, regardless of grade, was also considered as DLT.

    Time frame: Cycle 1 (28 days)

  2. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), and Treatment-Emergent Serious Adverse Events (TESAEs)

    An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. Serious adverse events (SAEs) were any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the TEAE period (defined as the time from the first dose of study treatment up to 30 days after the last dose of study treatment).

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  3. Number of Participants With Laboratory Abnormalities: Hematological Parameters

    Hematological parameters assessed were anemia, white blood cell (WBC) decreased, platelet count decreased, lymphocyte count decreased, and neutrophil count decreased. Abnormality criteria was assessed as per the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 NCI-CTCAE v 5.0), where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  4. Number of Participants With Laboratory Abnormalities: Electrolytes

    Electrolyte parameters assessed were hyponatremia, hypokalemia, hyperkalemia, hypocalcemia, hypercalcemia, hypoalbuminemia, hypoglycemia and hyperglycemia. Abnormal criteria was assessed as per the NCI-CTCAE v 5.0, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  5. Number of Participants With Laboratory Abnormalities: Renal Parameters

    Abnormal renal parameters assessed were glomerular filtration rate (GFR) by class, creatinine increased and hyperuricemia. GFR by class was assessed in categories:\>=90 milliliter per minute per 1.73 meter square (mL/min/1.73m\^2) (Normal), \>=60 to \<90 mL/min/1.73m\^2 (Mild), \>=30 to \<60 mL/min/1.73m\^2 (Moderate), \>=15 to \<30 mL/min/1.73m\^2 (Severe), and \<15 mL/min/1.73m\^2 (End Stage Renal Disease). Abnormal criteria was assessed as per NCI-CTCAE v 5.0, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  6. Number of Participants With Laboratory Abnormalities: Liver Function Parameters

    Abnormal liver function parameters assessed were aspartate aminotransferase (AST) increased, alanine aminotransferase (ALT) increased, alkaline phosphatase (ALP) increased, blood bilirubin (BB) increased. Abnormal criteria was assessed as per NCI-CTCAE v 5.0, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  7. Cohort A1: Percentage of Participants With Complete Response (CR)

    Percentage of participants who had a CR as a best overall response (BOR) using the Lugano response criteria (LRC) 2014 (based on PET-CT and CT responses). Per LRC, CR based on PET-CT response was defined as complete metabolic response (MR) in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass, on 5-point scale (5PS), where, 1= no uptake above background; 2 = uptake \<=mediastinum; 3 = uptake \> mediastinum but \<= liver; 4 = uptake moderately \> liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. CR based on CT-response was defined as target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5 cm in longest dimension transverse diameter of lesion (LDi); absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology; if indeterminate, immunohistochemistry negative.

    Time frame: From the date of randomization until disease progression or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)

  8. Cohort A2, B and C: Percentage of Participants With Objective Response (OR)

    Percentage of participants who had a CR or partial response (PR) as BOR using LRC, 2014. Per LRC, CR (PET-CT): complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass; no new lesions and no evidence of FDG-avid disease. CR (CT-response): target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5cm LDi; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology. PR (PET-CT): partial MR in lymph nodes and extralymphatic sites; no new lesions and residual uptake higher than uptake. PR (Per CT): lymph nodes, extralymphatic sites\>=50% decrease in sum of product of perpendicular diameters (SPD), extranodal sites; if lesion is too small to measure on CT,assign5mm\*5mm as default; if no longer visible:0\*0mm; Node\>5mm\*5mm but smaller than normal, use actual measurement; absent/regressed non-measured lesions; no increase; spleen regressed by\>50% or no new lesions.

    Time frame: From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)

Secondary outcomes

  1. Number of Participants With Treatment-Induced and Treatment Boosted Antidrug Antibodies (ADA) Against Isatuximab

    ADA responses were categorized as treatment boosted ADA and treatment-induced ADA. Treatment boosted ADA was defined as pre-existing ADAs with a significant increase in the ADA titer during the study compared to the Baseline titer. Treatment-induced ADA was defined as ADA that developed at any time during the ADA on-study observation period in participants without pre-existing ADA.

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  2. Number of Participants With Treatment-Induced and Treatment Boosted Antidrug Antibodies (ADA) Against Cemiplimab

    ADA responses were categorized as treatment boosted ADA and treatment-induced ADA. Treatment boosted ADA was defined as pre-existing ADAs with a significant increase in the ADA titer during the study compared to the Baseline titer. Treatment-induced ADA was defined as ADA that developed at any time during the ADA on-study observation period in participants without pre-existing ADA.

    Time frame: From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)

  3. Pharmacokinetics (PK) Parameter: Plasma Concentration of Isatuximab at End of Infusion (CEOI)

    Ceoi is the plasma concentration observed at the end of intravenous infusion of isatuximab.

    Time frame: End of infusion (EOI up to 3 hours) on Day 2 of Cycle 1

  4. PK Parameter: Maximum Observed Plasma Concentration (Cmax) After the First Infusion of Isatuximab

    Cmax was defined as the maximum plasma concentration observed after the first administration of drug.

    Time frame: At Start of infusion (SOI; 0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  5. PK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Isatuximab

    Tmax was defined as the time to reach Cmax, after the intravenous infusion of isatuximab.

    Time frame: At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  6. PK Parameter: Area Under the Plasma Concentration (AUClast) Versus Time Curve After the First Infusion of Isatuximab

    AUClast was defined as area under the plasma concentration versus time curve calculated from time 0 to last quantifiable concentration, calculated for isatuximab.

    Time frame: At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  7. PK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Isatuximab

    Clast was defined as the last concentration of isatuximab observed above the lower limit of quantification.

    Time frame: At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  8. PK Parameter: Time of Clast (Tlast) After the First Infusion of Isatuximab

    Tlast was defined as the time of last concentration observed above the lower limit of quantification for isatuximab.

    Time frame: At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  9. PK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-168 Hours) After the First Infusion of Isatuximab

    AUC0-168 hours was defined as the area under the plasma concentration versus time curve from time 0 to 168 hours post dose calculated for isatuximab. Samples for this outcome measure were collected up to 144 hours post-dose. No sample was collected at 168 hours post-dose; and thus, the samples collected up to 144 hours post-dose were extrapolated to derive data for 168 hours post-dose.

    Time frame: At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  10. PK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-144 Hours) After the First Infusion of Isatuximab

    AUC0-144 hours was defined as the area under the plasma concentration versus time curve from time 0 to 144 hours post dose calculated for isatuximab.

    Time frame: At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1

  11. PK Parameter: Plasma Trough Concentration (Ctrough) of Isatuximab

    Ctrough was the plasma concentration of isatuximab observed just before treatment administration during repeated dosing.

    Time frame: Pre-infusion on Cycle1:Day 2, 8, 15, & 22, Cycle 2:Day 1 &15, Cycle 3:Day 1 &15, Cycle 4:Day 1 &15, Cycle 5 Day1,Cycle 6 Day1,Cycle 7 Day 1, Cycle 8 Day1, Cycle 9 Day1, Cycle 10 Day1, Cycle 11 Day1, Cycle14 Day1, Cycle 17 Day1, Cycle 20 Day1,Cycle 23 Day1

  12. PK Parameter: Serum Concentration of Cemiplimab at End of Infusion (CEOI)

    Ceoi is the plasma concentration observed at the end of intravenous infusion of cemiplimab.

    Time frame: EOI (up to 30 minutes [min]) on Day 1 of Cycle 1

  13. PK Parameter: Maximum Observed Concentration (Cmax) After the First Infusion of Cemiplimab

    Cmax was defined as the maximum concentration observed after the first administration.

    Time frame: At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1

  14. PK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Cemiplimab

    Tmax was defined as the time to reach Cmax after the intravenous infusion of cemiplimab.

    Time frame: At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1

  15. PK Parameter: Area Under the Serum Concentration (AUClast) Versus Time Curve After the First Infusion of Cemiplimab

    AUClast was defined as area under the serum concentration versus time curve calculated from time 0 to last quantifiable concentration calculated for cemiplimab.

    Time frame: At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1

  16. PK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Cemiplimab

    Clast was defined as the last concentration of cemiplimab observed above the lower limit of quantification.

    Time frame: At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1

  17. PK Parameter: Time of Clast (Tlast) After the First Infusion of Cemiplimab

    Tlast was defined as the time of last concentration observed above the lower limit of quantification for cemiplimab.

    Time frame: At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1

  18. PK Parameter: Area Under the Serum Concentration Versus Time Curve Over the Dosing Interval (AUC0-336 Hours) After the First Infusion of Cemiplimab

    AUC0-336 hours was defined as the area under the serum concentration versus time curve from time 0 to 336 hours post dose for cemiplimab.

    Time frame: At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1

  19. PK Parameter: Serum Trough Concentration (Ctrough) of Cemiplimab

    Ctrough was the serum concentration of cemiplimab observed just before treatment administration during repeated dosing.

    Time frame: Pre-infusion on Cycle 1:Day 1 & Day15,Cycle 2:Day 1 & Day 15,Cycle 3:Day 1 & Day 15,Cycle 4:Day 1 & Day15,Cycle 5 Day 1,Cycle 6 Day 1,Cycle7 Day1,Cycle 8 Day 1,Cycle 9 Day1,Cycle 10 Day1,Cycle11 Day1,Cycle14 Day 1,Cycle 17 Day1,Cycle20 Day 1,Cycle 23 Day1

  20. Percent Change From Baseline in Tumor Burden

    Tumor burden change was defined as the best percent-change from baseline in a sum of product of lesion diameters (longest for non-nodal lesion, short axis for nodal lesions) for all target lesions.

    Time frame: Up to 103 weeks

  21. Duration of Response (DOR)

    Time (months) between date of first response to first date that recurrent or radiologically disease progression (PD) was documented, or date of death,whichever was 1st. In absence of PD or death before cut-off date or date of initiation of further anticancer treatment, DOR was censored at date of last valid response not showing PD performed prior to initiation of further anticancer treatment or cut-off date, whichever was earlier. PD(PET-CT): metabolic disease with score 4/5 with inc. in intensity of uptake for target nodes/nodal mass \& new FDG-avid foci consistent with lymphoma. PD(CT):any 1 of following: cross product of longest transverse diameter of lesion(LDi) \& perpendicular diameter (PPD) progression of nodes/nodal mass, abnormal node/lesion with LDi \>1.5 cm, inc \>=50% from PPD nadir \& inc in LDi/ shortest axis perpendicular to LDi(SDi) from nadir 0.5 cm, regrowth of resolved lesions, new splenomegaly,progression of non-measured lesion, new/recurrent involvement of bone marrow.

    Time frame: From the date of first response until disease progression or death, or study cut-off date whichever occurred first (maximum duration: up to 103 weeks)

  22. Percentage of Participants With Disease Control (DC)

    DC defined as percentage of participants who achieved CR, PR or stable disease (SD) as per LRC, 2014. CR (PET-CT): complete MR in lymph nodes and extralymphatic sites; no new lesions and no evidence of FDG-avid disease. CR (CT): target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5cm LDi; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow. PR (PET-CT): partial MR in lymph nodes and sites; no new lesions. PR (CT): lymph nodes, sites\>=50% decrease in SPD, sites; if lesion is too small to measure on CT, assign 5mm\*5mm; No longer visible:0\*0mm; Node\>5mm\*5mm, use actual measurement; absent/regressed non-measured lesions; no increase; spleen regressed by\>50% or no new lesions. SD (PET-CT):no metabolic response, target nodes score of 4/5 with no significant change \& no new lesions; SD (CT): \<50% dec in SPD, no increase in progression for. 5PS:1: non-measured lesions, organ enlargement \& no new lesions.

    Time frame: From the date of first response until disease progression or death, or study cut-off date whichever occurred first (maximum duration: up to 103 weeks)

  23. Progression Free Survival (PFS)

    PFS: time (in months) from 1st study treatment administration to date of 1st documented radiographic progression or date of death from any cause, whichever occurs 1st. Per LRC, 2014 PD (per PET-CT): metabolic disease with score 4/5 with increase (inc) in intensity of uptake for individual target nodes/nodal mass \& new FDG-avid foci consistent with lymphoma at interim/ end-of-treatment assessment for extra nodal lesions, new FDG-avid foci consistent with lymphoma rather; new/recurrent FDG-avid foci bone marrow. PD (per CT response): any 1 of following: cross product of longest transverse diameter of lesion (LDi) \& perpendicular diameter (PPD) progression of nodes/nodal mass, abnormal node/lesion with LDi \>1.5 cm, inc \>=50% from PPD nadir \& inc in LDi/ shortest axis perpendicular to LDi from nadir 0.5 cm for lesion \<= 2 cm, regrowth of resolved lesions, new splenomegaly,progression of preexisting non measured lesion, new/recurrent involvement of bone marrow.

    Time frame: From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)

  24. Cohort A1 and A2: Percentage of Participants With Objective Response

    Percentage of participants who had a CR or PR as BOR using LRC, 2014 (based on PET-CT and CT responses). CR (per PET-CT): complete MR in lymph nodes and extra lymphatic sites with a score of 1, 2, or 3 with or without residual mass; no new lesions and no evidence of FDG-avid disease. CR (CT-response): target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5cm LDi; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology. PR (per PET-CT): partial MR in lymph nodes and extral ymphatic sites; no new lesions and residual uptake higher than uptake. PR (per CT): lymph nodes, extralymphatic sites \>=50% decrease in SPD, extranodal sites; if lesion is too small to measure on CT, assign 5mm\*5mm as default; if no longer visible:0\*0mm; Node\>5mm\*5mm but smaller than normal, used actual measurement; absent/regressed non-measured lesions; no increase; spleen regressed by\>50% or no new lesions.

    Time frame: From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)

  25. Cohort A1 and A2: Percentage of Participants With Complete Response

    Percentage of participants who had a CR as a BOR using the LRC, 2014 (based on PET-CT and CT responses). Per LRC, CR based on PET-CT was defined as complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass, on 5PS, where, 1= no uptake above background; 2 = uptake \<=mediastinum; 3 = uptake \> mediastinum but \<= liver; 4 = uptake moderately \> liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow. CR based on CT-response was defined as target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5 cm in longest dimension transverse diameter of lesion (LDi); absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology; if indeterminate, immunohistochemistry negative.

    Time frame: From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)

07

Results

Posted Oct 17, 2023
Limitations and caveats
The efficacy results observed in Cohorts B and C did not fulfill the pre-planned interim analysis criteria allowing the study to move to Phase 2 Stage 2 in these cohorts. The efficacy results observed in Cohort A1 and A2 fulfilled the pre-planned interim analysis criteria in Stage 1 to move to Phase 2 Stage 2 in these cohorts. However, the study was stopped for all the cohorts as per Sponsor's decision.

Participant flow

Study was conducted at 20 sites in 7 countries. A total of 58 participants were enrolled between 11 December 2018 and 27 August 2020 and received isatuximab in combination with cemiplimab. Study was planned to be conducted in 2 parts: Phase 1(safety run-in) and Phase 2 (efficacy/2-stage design).

Participant flow — Overall Study
MilestoneCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Started18121711
Completed5400
Not completed1381711
Withdrew: Adverse event1024
Withdrew: Withdrawal by subject1021
Withdrew: Progressive disease97136
Withdrew: Other - unspecified2100

Outcome measures

PrimaryNumber of Participants With Dose Limiting Toxicities (DLTs)

DLTs: Adverse Events (AEs) occurring during 1st treatment cycle, unless due to disease progression or obviously unrelated cause which included: hematological abnormalities: Grade(G) 4 neutropenia(N) for 7 or more consecutive days, G3 to G4 N with fever (temperature greater than or equal to \[\>=\] 38.5 degree Celsius on more than 1 occasion) or microbiologically/radiographically documented infection, G3 to G4 thrombocytopenia with clinically significant bleeding requiring clinical intervention or non-hematological abnormalities: G 4 non-hematologic AE, G\>=2 uveitis, G3 non-hematological AE lasting greater than (\>)3 days, delay in initiation of Cycle 2 \>14 days due to treatment related laboratory abnormalities/AE. Any other AE that the study committee deemed to be dose-limiting, regardless of grade, was also considered as DLT.

Time frame:
Cycle 1 (28 days)
Reported as:
Count of participants · Participants
Number of Participants With Dose Limiting Toxicities (DLTs)
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Number of Participants With Dose Limiting Toxicities (DLTs)—000
PrimaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs), and Treatment-Emergent Serious Adverse Events (TESAEs)

An AE was defined as any untoward medical occurrence in a participant who received study drug and did not necessarily have to have a causal relationship with the treatment. Serious adverse events (SAEs) were any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event. TEAEs were defined as AEs that developed, worsened or became serious during the TEAE period (defined as the time from the first dose of study treatment up to 30 days after the last dose of study treatment).

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs), and Treatment-Emergent Serious Adverse Events (TESAEs)
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
TEAEs16121711
TESAEs32107
PrimaryNumber of Participants With Laboratory Abnormalities: Hematological Parameters

Hematological parameters assessed were anemia, white blood cell (WBC) decreased, platelet count decreased, lymphocyte count decreased, and neutrophil count decreased. Abnormality criteria was assessed as per the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 NCI-CTCAE v 5.0), where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory Abnormalities: Hematological Parameters
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Anemia: Grade 19676
Anemia: Grade 25173
Anemia: Grade 32022
Anemia: Grade 40000
White blood cell decreased: Grade 110293
White blood cell decreased: Grade 21124
White blood cell decreased: Grade 30012
White blood cell decreased: Grade 40020
Platelet count decreased: Grade 18373
Platelet count decreased: Grade 20021
Platelet count decreased: Grade 30001
Platelet count decreased: Grade 40023
Lymphocyte count decreased: Grade 14220
Lymphocyte count decreased: Grade 23046
Lymphocyte count decreased: Grade 35163
Lymphocyte count decreased: Grade 41021
Neutrophil count decreased: Grade 10022
Neutrophil count decreased: Grade 23022
Neutrophil count decreased: Grade 30011
Neutrophil count decreased: Grade 40022
PrimaryNumber of Participants With Laboratory Abnormalities: Electrolytes

Electrolyte parameters assessed were hyponatremia, hypokalemia, hyperkalemia, hypocalcemia, hypercalcemia, hypoalbuminemia, hypoglycemia and hyperglycemia. Abnormal criteria was assessed as per the NCI-CTCAE v 5.0, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory Abnormalities: Electrolytes
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Hyponatremia: Grade 18465
Hyponatremia: Grade 20000
Hyponatremia: Grade 30023
Hyponatremia: Grade 40000
Hypokalemia: Grade 10000
Hypokalemia: Grade 23335
Hypokalemia: Grade 30030
Hypokalemia: Grade 40000
Hyperkalemia: Grade 11221
Hyperkalemia: Grade 21001
Hyperkalemia: Grade 30001
Hyperkalemia: Grade 40000
Hypocalcemia: Grade 11011
Hypocalcemia: Grade 20000
Hypocalcemia: Grade 30000
Hypocalcemia: Grade 40000
Hypoalbuminemia: Grade 13252
Hypoalbuminemia: Grade 24065
Hypoalbuminemia: Grade 30001
Hypoalbuminemia: Grade 40000
Hypoglycemia: Grade 15101
Hypoglycemia: Grade 20001
Hypoglycemia: Grade 30000
Hypoglycemia: Grade 40000
Hyperglycemia: Grade 12516
Hyperglycemia: Grade 22232
Hyperglycemia: Grade 32010
Hyperglycemia: Grade 40000
Hypercalcemia: Grade 10000
Hypercalcemia: Grade 20000
Hypercalcemia: Grade 30010
Hypercalcemia: Grade 40000
PrimaryNumber of Participants With Laboratory Abnormalities: Renal Parameters

Abnormal renal parameters assessed were glomerular filtration rate (GFR) by class, creatinine increased and hyperuricemia. GFR by class was assessed in categories:\>=90 milliliter per minute per 1.73 meter square (mL/min/1.73m\^2) (Normal), \>=60 to \<90 mL/min/1.73m\^2 (Mild), \>=30 to \<60 mL/min/1.73m\^2 (Moderate), \>=15 to \<30 mL/min/1.73m\^2 (Severe), and \<15 mL/min/1.73m\^2 (End Stage Renal Disease). Abnormal criteria was assessed as per NCI-CTCAE v 5.0, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory Abnormalities: Renal Parameters
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
GFR: >=90 mL/min/1.73m^27241
GFR: >=60 to <90 mL/min/1.73m^28887
GFR: >=30 to <60 mL/min/1.73m^23242
GFR: >=15 to <30 mL/min/1.73m^20011
GFR: <15 mL/min/1.73m^20000
Creatinine increased: Grade 12341
Creatinine increased: Grade 23134
Creatinine increased: Grade 30000
Creatinine increased: Garde 40000
Hyperuricemia: Grade 10000
Hyperuricemia: Grade 20000
Hyperuricemia: Grade 31352
Hyperuricemia: Grade 40000
PrimaryNumber of Participants With Laboratory Abnormalities: Liver Function Parameters

Abnormal liver function parameters assessed were aspartate aminotransferase (AST) increased, alanine aminotransferase (ALT) increased, alkaline phosphatase (ALP) increased, blood bilirubin (BB) increased. Abnormal criteria was assessed as per NCI-CTCAE v 5.0, where Grade 1 = Mild; Grade 2 = Moderate; Grade 3 = Severe; Grade 4 = Potentially Life Threatening. Grade refers to the severity of the AEs.

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory Abnormalities: Liver Function Parameters
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
AST increased: Grade 13253
AST increased: Grade 20010
AST increased: Grade 30000
AST increased: Grade 40000
ALT increased: Grade 11760
ALT increased: Grade 20000
ALT increased: Grade 30000
ALT increased: Grade 40000
ALP increased: Grade 13545
ALP increased: Grade 22020
ALP increased: Grade 30000
ALP increased: Grade 40000
BB increased: Grade 11012
BB increased: Grade 20021
BB increased: Grade 30010
BB increased: Grade 40000
PrimaryCohort A1: Percentage of Participants With Complete Response (CR)

Percentage of participants who had a CR as a best overall response (BOR) using the Lugano response criteria (LRC) 2014 (based on PET-CT and CT responses). Per LRC, CR based on PET-CT response was defined as complete metabolic response (MR) in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass, on 5-point scale (5PS), where, 1= no uptake above background; 2 = uptake \<=mediastinum; 3 = uptake \> mediastinum but \<= liver; 4 = uptake moderately \> liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. CR based on CT-response was defined as target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5 cm in longest dimension transverse diameter of lesion (LDi); absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology; if indeterminate, immunohistochemistry negative.

Time frame:
From the date of randomization until disease progression or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)
Reported as:
Number · percentage of participants
Cohort A1: Percentage of Participants With Complete Response (CR)
percentage of participantsCohort A1: cHL: Isatuximab + Cemiplimab
Cohort A1: Percentage of Participants With Complete Response (CR)27.8
PrimaryCohort A2, B and C: Percentage of Participants With Objective Response (OR)

Percentage of participants who had a CR or partial response (PR) as BOR using LRC, 2014. Per LRC, CR (PET-CT): complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass; no new lesions and no evidence of FDG-avid disease. CR (CT-response): target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5cm LDi; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology. PR (PET-CT): partial MR in lymph nodes and extralymphatic sites; no new lesions and residual uptake higher than uptake. PR (Per CT): lymph nodes, extralymphatic sites\>=50% decrease in sum of product of perpendicular diameters (SPD), extranodal sites; if lesion is too small to measure on CT,assign5mm\*5mm as default; if no longer visible:0\*0mm; Node\>5mm\*5mm but smaller than normal, use actual measurement; absent/regressed non-measured lesions; no increase; spleen regressed by\>50% or no new lesions.

Time frame:
From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)
Reported as:
Number · percentage of participants
Cohort A2, B and C: Percentage of Participants With Objective Response (OR)
percentage of participantsCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Cohort A2, B and C: Percentage of Participants With Objective Response (OR)33.3 (12.3 to 60.9)5.9 (0.3 to 25.0)9.1 (0.5 to 36.4)
SecondaryNumber of Participants With Treatment-Induced and Treatment Boosted Antidrug Antibodies (ADA) Against Isatuximab

ADA responses were categorized as treatment boosted ADA and treatment-induced ADA. Treatment boosted ADA was defined as pre-existing ADAs with a significant increase in the ADA titer during the study compared to the Baseline titer. Treatment-induced ADA was defined as ADA that developed at any time during the ADA on-study observation period in participants without pre-existing ADA.

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Induced and Treatment Boosted Antidrug Antibodies (ADA) Against Isatuximab
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Treatment-Induced ADA1000
Treatment-Boosted ADA0000
SecondaryNumber of Participants With Treatment-Induced and Treatment Boosted Antidrug Antibodies (ADA) Against Cemiplimab

ADA responses were categorized as treatment boosted ADA and treatment-induced ADA. Treatment boosted ADA was defined as pre-existing ADAs with a significant increase in the ADA titer during the study compared to the Baseline titer. Treatment-induced ADA was defined as ADA that developed at any time during the ADA on-study observation period in participants without pre-existing ADA.

Time frame:
From first dose of study treatment up to 30 days after last dose of study treatment (maximum duration: up to 103 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Induced and Treatment Boosted Antidrug Antibodies (ADA) Against Cemiplimab
ParticipantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Treatment-Induced ADA0010
Treatment-Boosted ADA0000
SecondaryPharmacokinetics (PK) Parameter: Plasma Concentration of Isatuximab at End of Infusion (CEOI)

Ceoi is the plasma concentration observed at the end of intravenous infusion of isatuximab.

Time frame:
End of infusion (EOI up to 3 hours) on Day 2 of Cycle 1
Reported as:
Mean · micrograms per milliliter (mcg/mL)
Pharmacokinetics (PK) Parameter: Plasma Concentration of Isatuximab at End of Infusion (CEOI)
micrograms per milliliter (mcg/mL)Cohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
Pharmacokinetics (PK) Parameter: Plasma Concentration of Isatuximab at End of Infusion (CEOI)221 ± 47.2263 ± 39.4235 ± 39.3181 ± 35.7
SecondaryPK Parameter: Maximum Observed Plasma Concentration (Cmax) After the First Infusion of Isatuximab

Cmax was defined as the maximum plasma concentration observed after the first administration of drug.

Time frame:
At Start of infusion (SOI; 0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Mean · mcg/mL
PK Parameter: Maximum Observed Plasma Concentration (Cmax) After the First Infusion of Isatuximab
mcg/mLCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Maximum Observed Plasma Concentration (Cmax) After the First Infusion of Isatuximab226 ± 48.1265 ± 38.8253 ± 29.1181 ± 35.7
SecondaryPK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Isatuximab

Tmax was defined as the time to reach Cmax, after the intravenous infusion of isatuximab.

Time frame:
At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Median · hours
PK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Isatuximab
hoursCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Isatuximab5.95 (2.00 to 8.92)5.23 (3.00 to 8.83)5.26 (2.60 to 10.5)4.57 (2.33 to 7.45)
SecondaryPK Parameter: Area Under the Plasma Concentration (AUClast) Versus Time Curve After the First Infusion of Isatuximab

AUClast was defined as area under the plasma concentration versus time curve calculated from time 0 to last quantifiable concentration, calculated for isatuximab.

Time frame:
At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Mean · hours*mcg/mL
PK Parameter: Area Under the Plasma Concentration (AUClast) Versus Time Curve After the First Infusion of Isatuximab
hours*mcg/mLCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Area Under the Plasma Concentration (AUClast) Versus Time Curve After the First Infusion of Isatuximab20400 ± 519022700 ± 602021700 ± 461014400 ± 4710
SecondaryPK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Isatuximab

Clast was defined as the last concentration of isatuximab observed above the lower limit of quantification.

Time frame:
At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Mean · mcg/mL
PK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Isatuximab
mcg/mLCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Isatuximab93.3 ± 28.1110 ± 24.589.8 ± 24.740.4 ± 17.7
SecondaryPK Parameter: Time of Clast (Tlast) After the First Infusion of Isatuximab

Tlast was defined as the time of last concentration observed above the lower limit of quantification for isatuximab.

Time frame:
At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Median · hours
PK Parameter: Time of Clast (Tlast) After the First Infusion of Isatuximab
hoursCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Time of Clast (Tlast) After the First Infusion of Isatuximab142 (136 to 174)143 (72.6 to 167)143 (137 to 147)144 (142 to 169)
SecondaryPK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-168 Hours) After the First Infusion of Isatuximab

AUC0-168 hours was defined as the area under the plasma concentration versus time curve from time 0 to 168 hours post dose calculated for isatuximab. Samples for this outcome measure were collected up to 144 hours post-dose. No sample was collected at 168 hours post-dose; and thus, the samples collected up to 144 hours post-dose were extrapolated to derive data for 168 hours post-dose.

Time frame:
At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Mean · hour*mcg/mL
PK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-168 Hours) After the First Infusion of Isatuximab
hour*mcg/mLCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-168 Hours) After the First Infusion of Isatuximab22500 ± 577026600 ± 403023700 ± 496015000 ± 4680
SecondaryPK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-144 Hours) After the First Infusion of Isatuximab

AUC0-144 hours was defined as the area under the plasma concentration versus time curve from time 0 to 144 hours post dose calculated for isatuximab.

Time frame:
At SOI (0 hour), before actual EOI (up to 3 hours), EOI+ 4 hours, 72 hours and 144 hours post-dose on Day 2 of Cycle 1
Reported as:
Mean · hours*mcg/mL
PK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-144 Hours) After the First Infusion of Isatuximab
hours*mcg/mLCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
PK Parameter: Area Under the Concentration Versus Time Curve Over the Dosing Interval (AUC0-144 Hours) After the First Infusion of Isatuximab20400 ± 517024300 ± 347021800 ± 455014000 ± 4240
SecondaryPK Parameter: Plasma Trough Concentration (Ctrough) of Isatuximab

Ctrough was the plasma concentration of isatuximab observed just before treatment administration during repeated dosing.

Time frame:
Pre-infusion on Cycle1:Day 2, 8, 15, & 22, Cycle 2:Day 1 &15, Cycle 3:Day 1 &15, Cycle 4:Day 1 &15, Cycle 5 Day1,Cycle 6 Day1,Cycle 7 Day 1, Cycle 8 Day1, Cycle 9 Day1, Cycle 10 Day1, Cycle 11 Day1, Cycle14 Day1, Cycle 17 Day1, Cycle 20 Day1,Cycle 23 Day1
Reported as:
Mean · mcg/mL
PK Parameter: Plasma Trough Concentration (Ctrough) of Isatuximab
mcg/mLCohort A1: cHL: IsatuximabCohort A2: cHL: IsatuximabCohort B: DLBCL: IsatuximabCohort C: PTCL: Isatuximab
Cycle 1 Day 20 ± 00 ± 00 ± 00 ± 0
Cycle 1 Day 893.1 ± 28.198.4 ± 39.593.2 ± 27.237.7 ± 18.0
Cycle 1 Day 15159 ± 47.7191 ± 41.4181 ± 43.7115 ± 89.4
Cycle 1 Day 22254 ± 59.8262 ± 45.2259 ± 57.9124 ± 22.9
Cycle 2 Day 1310 ± 78.2352 ± 48.7316 ± 110132 ± 64.0
Cycle 2 Day 15314 ± 141390 ± 256291 ± 108129 ± 59.1
Cycle 3 Day 1304 ± 79.8320 ± 49.7327 ± 92.4122 ± 58.0
Cycle 3 Day 15325 ± 85.1336 ± 42.3420 ± 67.8176 ± 8.19
Cycle 4 Day 1334 ± 91.8344 ± 58.2350 ± 80.6149 ± 33.2
Cycle 4 Day 15363 ± 122376 ± 65.2336 ± 117158 ± 16.9
Cycle 5 Day 1385 ± 79.9383 ± 71.0362157 ± 11.5
Cycle 6 Day 1379 ± 105361 ± 97.8415137
Cycle 7 Day 1408 ± 141374 ± 107—186
Cycle 8 Day 1352 ± 94.9356 ± 57.7360—
Cycle 9 Day 1328 ± 124351 ± 54.8—83.5
Cycle 10 Day 1317 ± 120347 ± 51.8383—
Cycle 11 Day 1318 ± 147357 ± 52.0——
Cycle 14 Day 1357 ± 119333 ± 28.0——
Cycle 17 Day 1—299 ± 22.3——
Cycle 20 Day 1117328 ± 14.4——
Cycle 23 Day 1—309 ± 9.90——
SecondaryPK Parameter: Serum Concentration of Cemiplimab at End of Infusion (CEOI)

Ceoi is the plasma concentration observed at the end of intravenous infusion of cemiplimab.

Time frame:
EOI (up to 30 minutes [min]) on Day 1 of Cycle 1
Reported as:
Mean · milligrams per milliliter (mg/mL)
PK Parameter: Serum Concentration of Cemiplimab at End of Infusion (CEOI)
milligrams per milliliter (mg/mL)Cohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
PK Parameter: Serum Concentration of Cemiplimab at End of Infusion (CEOI)63.7 ± 24.278.8 ± 24.968.1 ± 26.366.2 ± 18.4
SecondaryPK Parameter: Maximum Observed Concentration (Cmax) After the First Infusion of Cemiplimab

Cmax was defined as the maximum concentration observed after the first administration.

Time frame:
At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1
Reported as:
Mean · mg/L
PK Parameter: Maximum Observed Concentration (Cmax) After the First Infusion of Cemiplimab
mg/LCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
PK Parameter: Maximum Observed Concentration (Cmax) After the First Infusion of Cemiplimab70.9 ± 21.190.8 ± 19.479.0 ± 16.777.1 ± 20.7
SecondaryPK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Cemiplimab

Tmax was defined as the time to reach Cmax after the intravenous infusion of cemiplimab.

Time frame:
At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1
Reported as:
Median · hours
PK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Cemiplimab
hoursCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
PK Parameter: Time to Reach Cmax (Tmax) After the First Infusion of Cemiplimab4.00 (0.480 to 4.67)4.50 (0.480 to 4.53)4.05 (0.420 to 5.40)2.34 (0.500 to 4.08)
SecondaryPK Parameter: Area Under the Serum Concentration (AUClast) Versus Time Curve After the First Infusion of Cemiplimab

AUClast was defined as area under the serum concentration versus time curve calculated from time 0 to last quantifiable concentration calculated for cemiplimab.

Time frame:
At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1
Reported as:
Mean · day*mg/mL
PK Parameter: Area Under the Serum Concentration (AUClast) Versus Time Curve After the First Infusion of Cemiplimab
day*mg/mLCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
PK Parameter: Area Under the Serum Concentration (AUClast) Versus Time Curve After the First Infusion of Cemiplimab524 ± 188648 ± 112506 ± 159466 ± 147
SecondaryPK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Cemiplimab

Clast was defined as the last concentration of cemiplimab observed above the lower limit of quantification.

Time frame:
At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1
Reported as:
Mean · mg/L
PK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Cemiplimab
mg/LCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
PK Parameter: Last Concentration Observed Above the Lower Limit of Quantification (Clast) After the First Infusion of Cemiplimab23.4 ± 11.230.3 ± 7.1627.0 ± 9.7914.3 ± 6.64
SecondaryPK Parameter: Time of Clast (Tlast) After the First Infusion of Cemiplimab

Tlast was defined as the time of last concentration observed above the lower limit of quantification for cemiplimab.

Time frame:
At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1
Reported as:
Median · hours
PK Parameter: Time of Clast (Tlast) After the First Infusion of Cemiplimab
hoursCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
PK Parameter: Time of Clast (Tlast) After the First Infusion of Cemiplimab334 (164 to 672)333 (330 to 362)332 (164 to 339)335 (171 to 572)
SecondaryPK Parameter: Area Under the Serum Concentration Versus Time Curve Over the Dosing Interval (AUC0-336 Hours) After the First Infusion of Cemiplimab

AUC0-336 hours was defined as the area under the serum concentration versus time curve from time 0 to 336 hours post dose for cemiplimab.

Time frame:
At SOI (0 hour), before actual EOI (up to 30 min), EOI+4 hours, 96 hours, 168 hours, and 336 hours post-dose on Day 1 of Cycle 1
Reported as:
Mean · day*mg/mL
PK Parameter: Area Under the Serum Concentration Versus Time Curve Over the Dosing Interval (AUC0-336 Hours) After the First Infusion of Cemiplimab
day*mg/mLCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
PK Parameter: Area Under the Serum Concentration Versus Time Curve Over the Dosing Interval (AUC0-336 Hours) After the First Infusion of Cemiplimab519 ± 177645 ± 113546 ± 136466 ± 130
SecondaryPK Parameter: Serum Trough Concentration (Ctrough) of Cemiplimab

Ctrough was the serum concentration of cemiplimab observed just before treatment administration during repeated dosing.

Time frame:
Pre-infusion on Cycle 1:Day 1 & Day15,Cycle 2:Day 1 & Day 15,Cycle 3:Day 1 & Day 15,Cycle 4:Day 1 & Day15,Cycle 5 Day 1,Cycle 6 Day 1,Cycle7 Day1,Cycle 8 Day 1,Cycle 9 Day1,Cycle 10 Day1,Cycle11 Day1,Cycle14 Day 1,Cycle 17 Day1,Cycle20 Day 1,Cycle 23 Day1
Reported as:
Mean · mg/mL
PK Parameter: Serum Trough Concentration (Ctrough) of Cemiplimab
mg/mLCohort A1: cHL: CemiplimabCohort A2: cHL: CemiplimabCohort B: DLBCL: CemiplimabCohort C: PTCL: Cemiplimab
Cycle 1 Day 10.00800 ± 0.03300.980 ± 2.190 ± 00 ± 0
Cycle 1 Day 1525.3 ± 10.230.3 ± 7.1624.2 ± 9.9116.5 ± 4.83
Cycle 2 Day 144.1 ± 11.251.1 ± 15.849.6 ± 16.333.0 ± 10.4
Cycle 2 Day 1564.4 ± 22.561.0 ± 10.848.9 ± 9.1638.3 ± 21.1
Cycle 3 Day 177.7 ± 30.273.7 ± 11.062.8 ± 13.666.7 ± 64.7
Cycle 3 Day 1595.1 ± 35.086.6 ± 19.572.3 ± 3.8072.1 ± 12.1
Cycle 4 Day 1100 ± 38.984.4 ± 20.376.8 ± 4.3166.7 ± 24.1
Cycle 4 Day 15113 ± 44.888.2 ± 30.591.6 ± 10.363.5 ± 24.8
Cycle 5 Day 1106 ± 28.992.7 ± 21.891.673.4 ± 26.5
Cycle 6 Day 1114 ± 37.394.8 ± 29.811373.8
Cycle 7 Day 1112 ± 32.6115 ± 43.0—100
Cycle 8 Day 1110 ± 40.5129 ± 19.593.0—
Cycle 9 Day 1107 ± 36.2122 ± 27.912261.8
Cycle 10 Day 1112 ± 65.8139 ± 23.2122—
Cycle 11 Day 1120 ± 60.2133 ± 14.5——
Cycle 14 Day 1138 ± 72.7127 ± 17.1——
Cycle 17 Day 160.6131 ± 18.8——
Cycle 20 Day 162.6137 ± 26.7——
Cycle 23 Day 1—137——
SecondaryPercent Change From Baseline in Tumor Burden

Tumor burden change was defined as the best percent-change from baseline in a sum of product of lesion diameters (longest for non-nodal lesion, short axis for nodal lesions) for all target lesions.

Time frame:
Up to 103 weeks
Reported as:
Mean · percent change
Percent Change From Baseline in Tumor Burden
percent changeCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Percent Change From Baseline in Tumor Burden-48.8 ± 59.0-55.3 ± 32.6396.0 ± 880.7-9.7 ± 87.8
SecondaryDuration of Response (DOR)

Time (months) between date of first response to first date that recurrent or radiologically disease progression (PD) was documented, or date of death,whichever was 1st. In absence of PD or death before cut-off date or date of initiation of further anticancer treatment, DOR was censored at date of last valid response not showing PD performed prior to initiation of further anticancer treatment or cut-off date, whichever was earlier. PD(PET-CT): metabolic disease with score 4/5 with inc. in intensity of uptake for target nodes/nodal mass \& new FDG-avid foci consistent with lymphoma. PD(CT):any 1 of following: cross product of longest transverse diameter of lesion(LDi) \& perpendicular diameter (PPD) progression of nodes/nodal mass, abnormal node/lesion with LDi \>1.5 cm, inc \>=50% from PPD nadir \& inc in LDi/ shortest axis perpendicular to LDi(SDi) from nadir 0.5 cm, regrowth of resolved lesions, new splenomegaly,progression of non-measured lesion, new/recurrent involvement of bone marrow.

Time frame:
From the date of first response until disease progression or death, or study cut-off date whichever occurred first (maximum duration: up to 103 weeks)
Reported as:
Mean · months
Duration of Response (DOR)
monthsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Duration of Response (DOR)5.8 ± 5.27.3 ± 4.817.114.0
SecondaryPercentage of Participants With Disease Control (DC)

DC defined as percentage of participants who achieved CR, PR or stable disease (SD) as per LRC, 2014. CR (PET-CT): complete MR in lymph nodes and extralymphatic sites; no new lesions and no evidence of FDG-avid disease. CR (CT): target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5cm LDi; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow. PR (PET-CT): partial MR in lymph nodes and sites; no new lesions. PR (CT): lymph nodes, sites\>=50% decrease in SPD, sites; if lesion is too small to measure on CT, assign 5mm\*5mm; No longer visible:0\*0mm; Node\>5mm\*5mm, use actual measurement; absent/regressed non-measured lesions; no increase; spleen regressed by\>50% or no new lesions. SD (PET-CT):no metabolic response, target nodes score of 4/5 with no significant change \& no new lesions; SD (CT): \<50% dec in SPD, no increase in progression for. 5PS:1: non-measured lesions, organ enlargement \& no new lesions.

Time frame:
From the date of first response until disease progression or death, or study cut-off date whichever occurred first (maximum duration: up to 103 weeks)
Reported as:
Number · percentage of participants
Percentage of Participants With Disease Control (DC)
percentage of participantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Percentage of Participants With Disease Control (DC)61.1 (39.2 to 80.1)58.3 (31.5 to 81.9)5.9 (0.3 to 25.0)18.2 (3.3 to 47.0)
SecondaryProgression Free Survival (PFS)

PFS: time (in months) from 1st study treatment administration to date of 1st documented radiographic progression or date of death from any cause, whichever occurs 1st. Per LRC, 2014 PD (per PET-CT): metabolic disease with score 4/5 with increase (inc) in intensity of uptake for individual target nodes/nodal mass \& new FDG-avid foci consistent with lymphoma at interim/ end-of-treatment assessment for extra nodal lesions, new FDG-avid foci consistent with lymphoma rather; new/recurrent FDG-avid foci bone marrow. PD (per CT response): any 1 of following: cross product of longest transverse diameter of lesion (LDi) \& perpendicular diameter (PPD) progression of nodes/nodal mass, abnormal node/lesion with LDi \>1.5 cm, inc \>=50% from PPD nadir \& inc in LDi/ shortest axis perpendicular to LDi from nadir 0.5 cm for lesion \<= 2 cm, regrowth of resolved lesions, new splenomegaly,progression of preexisting non measured lesion, new/recurrent involvement of bone marrow.

Time frame:
From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)
Reported as:
Median · months
Progression Free Survival (PFS)
monthsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Progression Free Survival (PFS)5.09 (2.694 to 13.207)6.21 (2.595 to 10.349)2.37 (0.460 to 2.694)2.66 (0.427 to 6.341)
SecondaryCohort A1 and A2: Percentage of Participants With Objective Response

Percentage of participants who had a CR or PR as BOR using LRC, 2014 (based on PET-CT and CT responses). CR (per PET-CT): complete MR in lymph nodes and extra lymphatic sites with a score of 1, 2, or 3 with or without residual mass; no new lesions and no evidence of FDG-avid disease. CR (CT-response): target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5cm LDi; absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology. PR (per PET-CT): partial MR in lymph nodes and extral ymphatic sites; no new lesions and residual uptake higher than uptake. PR (per CT): lymph nodes, extralymphatic sites \>=50% decrease in SPD, extranodal sites; if lesion is too small to measure on CT, assign 5mm\*5mm as default; if no longer visible:0\*0mm; Node\>5mm\*5mm but smaller than normal, used actual measurement; absent/regressed non-measured lesions; no increase; spleen regressed by\>50% or no new lesions.

Time frame:
From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)
Reported as:
Number · percentage of participants
Cohort A1 and A2: Percentage of Participants With Objective Response
percentage of participantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + Cemiplimab
Cohort A1 and A2: Percentage of Participants With Objective Response55.6 (34.1 to 75.6)33.3 (12.3 to 60.9)
SecondaryCohort A1 and A2: Percentage of Participants With Complete Response

Percentage of participants who had a CR as a BOR using the LRC, 2014 (based on PET-CT and CT responses). Per LRC, CR based on PET-CT was defined as complete MR in lymph nodes and extralymphatic sites with a score of 1, 2, or 3 with or without residual mass, on 5PS, where, 1= no uptake above background; 2 = uptake \<=mediastinum; 3 = uptake \> mediastinum but \<= liver; 4 = uptake moderately \> liver; 5 = uptake markedly higher than liver and/or new lesions; no new lesions and no evidence of FDG-avid disease in bone marrow. CR based on CT-response was defined as target nodes/nodal masses of lymph nodes, extralymphatic sites regressed to \<=1.5 cm in longest dimension transverse diameter of lesion (LDi); absence of non-measured lesion; organ enlargement regressed to normal; no new lesions; normal bone marrow morphology; if indeterminate, immunohistochemistry negative.

Time frame:
From the date of randomization until disease progression, or death or study cut-off date, whichever comes first (maximum duration: up to 103 weeks)
Reported as:
Number · percentage of participants
Cohort A1 and A2: Percentage of Participants With Complete Response
percentage of participantsCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + Cemiplimab
Cohort A1 and A2: Percentage of Participants With Complete Response27.816.7

Adverse events

Collected over From first dose of study drug up to 30 days after the last dose of study drug (maximum duration: up to 103 weeks). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort A1: cHL: Isatuximab + Cemiplimab4/18 (22.2%)3/18 (16.7%)16/18 (88.9%)
Cohort A2: cHL: Isatuximab + Cemiplimab0/12 (0%)2/12 (16.7%)12/12 (100%)
Cohort B: DLBCL: Isatuximab + Cemiplimab12/17 (70.6%)10/17 (58.8%)17/17 (100%)
Cohort C: PTCL: Isatuximab + Cemiplimab6/11 (54.5%)7/11 (63.6%)10/11 (90.9%)
Most frequent serious events
Showing 10 of 31
Most frequent serious events
EventCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Urinary Tract Infection BacterialInfections and infestations0/180/122/170/11
Disease ProgressionGeneral disorders0/180/122/170/11
Meningitis AsepticInfections and infestations0/180/120/171/11
Pneumonia BacterialInfections and infestations0/180/120/171/11
Pneumonia Respiratory Syncytial ViralInfections and infestations0/180/120/171/11
Urinary Tract InfectionInfections and infestations0/180/121/171/11
AnaemiaBlood and lymphatic system disorders0/180/120/171/11
Peripheral Sensorimotor NeuropathyNervous system disorders0/180/120/171/11
PneumonitisRespiratory, thoracic and mediastinal disorders0/180/120/171/11
Gastrointestinal HaemorrhageGastrointestinal disorders0/180/120/171/11
Most frequent other events
Showing 10 of 149
Most frequent other events
EventCohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + Cemiplimab
Infusion Related ReactionInjury, poisoning and procedural complications7/189/128/177/11
NauseaGastrointestinal disorders1/186/124/171/11
DiarrhoeaGastrointestinal disorders4/184/124/172/11
Oedema PeripheralGeneral disorders3/180/125/171/11
PyrexiaGeneral disorders4/183/123/173/11
Upper Respiratory Tract InfectionInfections and infestations0/183/121/171/11
PruritusSkin and subcutaneous tissue disorders2/183/120/171/11
Abdominal PainGastrointestinal disorders0/180/124/170/11
FatigueGeneral disorders0/181/124/172/11
Back PainMusculoskeletal and connective tissue disorders4/181/122/170/11

Baseline characteristics

Analysis was performed on all treated population which included all participants who signed the study informed consent and received at least 1 dose of the study treatment, either isatuximab or cemiplimab.

Age, Continuous
Age, Continuous(years)Cohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + CemiplimabTotal
Mean44.8 ± 20.138.0 ± 15.560.8 ± 14.265.5 ± 8.852.0 ± 18.8
Sex: Female, Male
Sex: Female, Male(Participants)Cohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + CemiplimabTotal
Female855422
Male10712736
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort A1: cHL: Isatuximab + CemiplimabCohort A2: cHL: Isatuximab + CemiplimabCohort B: DLBCL: Isatuximab + CemiplimabCohort C: PTCL: Isatuximab + CemiplimabTotal
American Indian or Alaska Native00000
Asian11428
Native Hawaiian or Other Pacific Islander00000
Black or African American00000
White1248731
More than one race00000
Unknown or Not Reported575219
08

Study locations

20 sites
  • Investigational Site Number :2500005
    Dijon, 21000, France
  • Investigational Site Number :2500004
    Montpellier, 34295, France
  • Investigational Site Number :2500002
    Nantes, 44093, France
  • Investigational Site Number :2500007
    Pessac, 33600, France
  • Investigational Site Number :2500001
    Villejuif, 94800, France
  • Investigational Site Number :3800003
    Rozzano, Milano 20089, Italy
  • Investigational Site Number :3800002
    Bologna, 40138, Italy
  • Investigational Site Number :3800006
    Brescia, 25123, Italy
  • Investigational Site Number :5280002
    Amsterdam, 1081 HV, Netherlands
  • Investigational Site Number :5280001
    Maastricht, 6229 HX, Netherlands
  • Investigational Site Number :6200002
    Coimbra, 3000-075, Portugal
  • Investigational Site Number :6200004
    Lisbon, 1649-035, Portugal
  • Investigational Site Number :6200003
    Porto, 4200, Portugal
  • Investigational Site Number :4100001
    Gangnam-gu, Seoul-teukbyeolsi 06351, South Korea
  • Investigational Site Number :4100002
    Seoul, Seoul-teukbyeolsi 03080, South Korea
  • Investigational Site Number :7240003
    Barcelona, Barcelona [Barcelona] 08035, Spain
  • Investigational Site Number :7240005
    Barcelona, Barcelona [Barcelona] 08036, Spain
  • Investigational Site Number :7240002
    L'Hospitalet de Llobregat, Barcelona [Barcelona] 08908, Spain
  • Investigational Site Number :7240004
    Madrid / Madrid, Madrid, Comunidad de 28040, Spain
  • Investigational Site Number :1580002
    Taichung, 40447, Taiwan
09

References and documents

Publications

  • Carlo-Stella C, Zinzani PL, Sureda A, Araujo L, Casasnovas O, Carpio C, Yeh SP, Bouabdallah K, Cartron G, Kim WS, Cordoba R, Koh Y, Re A, Alves D, Chamuleau M, Le Gouill S, Lopez-Guillermo A, Moreira I, van der Poel MWM, Abbadessa G, Meng R, Ji R, Lepine L, Saleem R, Ribrag V. A phase 1/2, open-label, multicenter study of isatuximab in combination with cemiplimab in patients with lymphoma. Hematol Oncol. 2023 Feb;41(1):108-119. doi: 10.1002/hon.3089. Epub 2022 Oct 31. PubMed 36251503 ↗

Study documents

  • Study protocol · Dec 15, 2020
  • Statistical analysis plan · Apr 24, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03769181
Lead sponsor
Sanofi
Responsible party
Sponsor
First posted
Dec 7, 2018
Start date
Dec 11, 2018
Primary completion
Nov 8, 2022
Completion
Nov 8, 2022
Results posted
Oct 17, 2023
Last update
Sep 23, 2025

Study contacts

Clinical Sciences & Operations
study director · Sanofi

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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